FATWHEELS Bicycle Safety Series – Pedals with Straps


Recently, I received the following question from a board-certified physical therapist:

Hello,

I am a pediatric physical therapist. I am so excited to find your website and products!

Most of my patients need a special needs adaptive tricycle, but I am working with a 10-year-old child who may be ready to transition from an adaptive tricycle to a traditional bike with a few adaptations (your training wheels look perfect!). He currently uses pedal straps, and his adaptive tricycle has a seat belt. I’m interested in your pedal strap adaptation; however, I am wondering if it is safe to have pedal straps without a seat belt?

I have been taught by fellow PTs that if you have the feet strapped in, then you need a seat belt for safety. This is in case the user was to fall off the bike, but the feet stayed strapped in, putting them at risk for a knee or ankle injury since the legs wouldn’t come off of the bike with the rest of the body. Do you sell any adaptive seat belts? Do you have any thoughts on this issue? I would love to hear more about this, as I do not specialize in higher level bike adaptations. Thank you so much in advance!

What a great question! Here is my response:

Thanks so much for reaching out to me and for your patience in awaiting my response….

The question you raise is a very valid one.  The pedals that we sell should NEVER be bound to the rider’s feet too tightly.  The straps are adjustable and should be left slack so that the rider can disengage their feet in the event of a fall.  Failing to do so, can cause unnecessary harm to the rider.  We include this instruction with every set of FATWHEELS pedals that we ship out.

The straps allow the rider to keep the pedals moving as they elevate their leg during the pedal upstroke (hip flexion), instead of having to rely solely on pushing your foot down (hip/knee extension).  This makes for a more efficient pedaling motion and helps individuals with things like motor planning and combatting low muscle tone.

The pedals are also self-leveling which means they’re counter-balanced to ensure they always rest in the right position for the rider to place their feet on them.  This helps them easily “find” & engage the pedal with their feet. 

We do not sell seat belts.  If the rider requires that level of support, they are most likely not a good candidate for our products.

I hope this answers your question – if you need any further information please do not hesitate to reach out – I am happy to assist!

Until next time,

Colleen

How Your Hearing Affects Your Balance

Your ears don’t just help you hear. In fact, they work together with other systems in your body to help you understand your place in space. If you have a steady sense of balance, you might not have a problem understanding where you are, how to stay upright, and how to keep yourself from falling. However, your eyes and brain aren’t the only organs involved in this process.

Many of those that have trouble with their balance find that the problem lies in their ears. Ear balance disorders can make you feel unsteady, wobbly, or constantly moving. These sensations of vertigo can seriously impact your ability to walk, stand upright, and even sit up. Before we touch on balance disorders and how they’re treated, it’s important to understand the ears’ role in balance.

How Do We Balance Ourselves?

Our balance system relies on the labyrinth, a maze of bone and tissue located in the inner ear. It holds the semicircular canals, the otolithic organs, and the cochlea. While the cochlea is used for hearing, the canals are used for balance. These look like three circular loops, and each is responsible for sensing a different type of movement. One senses up/down, another senses side-to-side, and the last senses tilt. When the fluid within these tubes move, the hair cells sense the movement and transmit it to our brain. This allows us to understand how we are moving through space. Our balance system is so sensitive that it even tells us when we are moving within a vehicle or elevator.

Problems with the inner ear can lead to balance problems, dizziness, vertigo, and even nausea. We might feel that we are moving when we’re not, struggle to stay upright or get motion sickness from standing still. These are all serious issues that can impact our ability to move around and sit up. People with severe vertigo might even feel sick while laying down.

Quite a few things can lead to balance problems, but it’s a lesser-known fact that hearing loss can cause balance disorders. Our ears are involved in more than just hearing, and the presence of the semicircular canals in our ears can lead to balance problems in people suffering from hearing loss.

What Are Balance Disorders?

Balance disorders are any condition that leads to a loss of balance or sense of vertigo/dizziness. These might be caused by simple things such as ear infections or low blood pressure, or a more serious issue like tumors or improper blood circulation. Regardless of what causes a balance disorder, it can lead to serious problems. A person with balance problems might feel like they’re tipping over, spinning, or floating, even when they’re standing still. Some people with balance disorders report experiencing vertigo when they turn their head, especially when getting out of bed or rolling over. They might stumble from time to time, hold walls to center themselves, or find themselves dragged to the ground. The severity of balance disorders can vary from person to person, and the cause of your balance problems can determine how bad they will be.

Balance Disorder Treatment?


The treatment of balance disorders largely depends on the cause of your condition. Infections can be treated with antibiotics, while illnesses like Meniere’s disease require other medications. Many people with permanent or untreatable balance problems seek out ear balance disorder exercises. These exercises are known as Vestibular Rehabilitation Therapy, or VRT.

These exercises help desensitize their balance system to certain movements, making it easier for the person to move around without triggering their vertigo. While it might not completely solve the problem, it can prevent falls and make vertigo easier to live with. Many people who receive VRT have fewer problems bending over, turning their head, and walking over patterned floors.

These exercises must be performed properly to have any positive effect. A VRT specialist can help you learn more and guide you through the exercises. It’s important to do these exercises in the presence of a counselor. They will keep you from falling if you become overwhelmed and challenge you when the exercises become too easy.

If you are suffering from a balance disorder, and you would still like to ride your bike, please check out our adaptive cycling kits at FATWHEELS.com

Until next time,

Colleen

Meet Rachael Wrobel

Rachael Blog Pic

I first met Rachael at a bowling alley.  She is a support worker for people with disabilities and she was there with a client. At the time, I was looking for someone to work with my son and Rachael was highly recommended. Acquaintances told me she was a safe driver, filled out paperwork on time and was very engaged with her clients. She sounded perfect, so I walked over to meet her. I waited while she finished assisting a young man with his bowling shoes before I stuck out my hand to introduce myself.  She extended her hand towards me and that’s when I noticed that she has no fingers. Yes, you read that correctly—the girl who drove to the bowling alley, helped her client with his fine motor tasks and filled out service logs…Has. No. Fingers.

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